NPI | 1568025815 |
---|---|
Other Name | TRONG NGUYEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 023433) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9117605) |
Enumeration Date | 2019-04-22 |
Last Update Date | 2024-03-28 |